Dr Eric Daiter has served Monmouth and Middlesex Counties of New Jersey as an infertility expert for the past 20 years. Dr. Daiter is happy to offer second opinions (at the office or over the telephone) or new patient appointments. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).
"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."
"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."
The presence of a varicocele is perhaps the most common identified
anatomically correctable abnormality associated with male infertility.
A varicocele is an abnormal dilatation of the testicular veins
within the spermatic cord, generally due to increased back pressure
in these vessels. Some 15% of healthy fertile men in the general
population have a detectable varicocele. In the infertile population,
up to 40% of men have reportedly been found to have a varicocele
so there seems to be an association with infertility. The evidence
that has been collected suggests that varicoceles cause a progressive
injury to spermatogenic function in the testes. This relationship
may explain why many young men with a varicocele are fertile and
then develop secondary infertility as the effect of the varicocele
progresses. The elevation of testicular temperature secondary
to increased arterial blood flow around a varicocele results in
the spermatogenic dysfunction.
Recognized authorities in Urology report that about 90%
of varicoceles are limited to the left side. The reason for the
higher incidence of left sided varicoceles is suggested by the
normal male anatomy. There are differences between the left and
right testicular veins. The left testicular vein drains into the
left renal vein while the right testicular vein drains directly
into the vena cava. The increased resistance to flow into the
smaller renal vein as compared to the vena cava is one potential
reason for increased pressure on the left. The left testicular
vein has a higher incidence of absent valves and is about 10 cm
longer than on the right, also adding to the increased resistance
and greater pressure on the left side. The left renal vein may
become compressed (to further increase resistance to flow) during
its course as it travels between the superior mesenteric artery
and the aorta, a process playfully referred to as the "nutcracker